Active NPI
Heath Kenneth Smith
- Adult Care Home Facility
- Wahoo, NE
National Provider Identifier
1235936451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Practice address
- 1233 N Birch St
Wahoo, NE 68066-1125 - Phone
- (402) 443-3678
- NPI assigned
- Feb 26, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | Primary |
Addresses
Primary practice location
1233 N Birch St
Wahoo, NE 68066-1125
Mailing address
2610 W M CT
Lincoln, NE 68522-1006
Phone (402) 325-8555
Other practice location 1
983 County Road 14
Ithaca, NE 68033
Phone (402) 480-2914
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Developmental Services of Nebraska, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Developmentally Disabled Services Day Training Agency
- Lincoln, NE
- NPI 1043400807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740528000000",
"number": "1235936451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2610 W M CT",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685221006",
"telephone_number": "402-325-8555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1233 N BIRCH ST",
"city": "WAHOO",
"state": "NE",
"postal_code": "680661125",
"telephone_number": "402-443-3678"
}
],
"practiceLocations": [
{
"address_1": "983 COUNTY ROAD 14",
"address_purpose": "LOCATION",
"city": "ITHACA",
"state": "NE",
"postal_code": "68033",
"country_code": "US",
"telephone_number": "402-480-2914",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "HEATH",
"middle_name": "KENNETH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-02-26",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wahoo, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.